Perinatal mortality in rural India: a strategy for reduction through primary care. I Stillbirths.

Shah, Usha; Pratinidhi, Asha; Bhatlawande, P. V.

doi:10.1136/jech.38.2.134

Cited by 20 publications

(8 citation statements)

References 2 publications

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“…As a result, women who had no antenatal care had a higher risk for a stillbirth compared to those women with antenatal care. In India, Shah et al found that stillbirth rates among women without antenatal care (ANC) were higher than women with ANC [9]. Our data support prior studies, Reeske et al reported that mothers living in the most deprived areas had an increased risk of stillbirth, as did women who were or had a partner who was unemployed [10,11].…”

Section: Discussionsupporting

confidence: 87%

Intra Uterine Fetal Death And Some Related Factors: A Silent Tragedy In Southeastern Iran

Safarzadeh¹,

Ghaedniajahromi²,

Rigi³

et al. 2014

J Pain Relief

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Objective: To determine the incidence, and some causes of intra uterine fetal death (IUFD). Methods:This was a prospective observational study of all stillbirths over 2 years from April 2011 to April 2013 at the Imam Ali University Teaching Hospital of zahedan, Iran. The variables studied were the following: demographic characteristic, fetal factors and maternal factors. Data was collected prospectively by directly interviewing the pregnant women and from the medical chart. Data were analyzed using SPSS (Statistical Package for the Social Sciences) statistical package. Results:The incidence of IUFD at our hospital was 88.7 per 1000 total births. The intra uterine fetal death rate had been increased in maternal ages under 20 years and above 35 years that showed a significant difference between this group and other groups (P=0.001).The rate of IUFD tend to increase significantly in primiparous women and women with parity 10 and more. The rate of IUFD tended to decreased with increasing gestational age. There were 437 (54.1%) macerated and 370 (45.8%) fresh death fetus. Unexplained' IUFD, Major congenital malformations, PROM, and preeclampsia were the three main causes of intra uterine fetal death.Discussion: Unfortunately, in our study the incidence of IUFD was very high. The main risk factors identified were lack of antenatal care. Despite the difficulty in predicting IUFD occurrence, it appears that carefully implemented antenatal care, family planning, genetic counseling and timely management of at risk patients may contribute to its prevention.

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Section: Discussionsupporting

confidence: 87%

Intra Uterine Fetal Death And Some Related Factors: A Silent Tragedy In Southeastern Iran

Safarzadeh¹,

Ghaedniajahromi²,

Rigi³

et al. 2014

J Pain Relief

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“…Usha shah et al had similar finding. [10] Imtiaz JEHAN et al in their study observed that 95% of all women received at least one antenatal care visit, while in our study it was about 47 % ; 72 % of the live births received more than 4 visits compared to 69% of women with a stillbirth. [6] C.U.…”

Section: Discussioncontrasting

confidence: 51%

Still Births in a Tertiary Care Hospital of Bhopal : A Cross Sectional Study

Rawat¹,

Toppo²,

Pal³

2015

jemds

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BACKGROUND: Death of fetus in -utero is both devastating to the couple and of concern to the clinician. Stillbirth is one of the most common adverse out-come of pregnancy. OBJECTIVE: 1.To study the status of still birth in Sultania Zanana Hospital. 2. To find out the causes and risk factors associated with still birth. MATERIAL AND METHODS: A cross -sectional study was carried out at SZ Hospital Bhopal during 1 st August 2011 to 31 st July 2012. A predesigned and pretested profarma was used to collect information from the mothers who had stillbirth regarding maternal age, parity, antenatal care, obstetric causes and medical conditions. Analysis was done using proportions and chi-square test. RESULT: There were a total of 10662 deliveries with 473 still births giving a still birth rate of 44.3/1000 total births. Women who had still births 88.73% were in the age group 20-34yrs, 45.66% were nullipara.53.06% had not taken any antenatal care. The major causes were APH 128 (27.06%), PIH (Preeclampsia, eclampsia) 114 (24.1%) and maternal medical conditions 34 (7.1%) of stillbirths. Majority 293 (61.94%) were ante partum stillbirths. CONCLUSION: Study showed a high rate of stillbirth, the major causes were ante partum hemorrhage, pregnancy induced hypertension and maternal medical conditions.

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“…Southwick et al [ 51 ] found that among women with inadequately treated current syphilis, those without ANC were more likely to have a stillborn infant than those with ANC (OR = 9.5; 95% CI: 4.0–23.5) [LOE: 2-] . In India, Shah et al [ 52 ] found stillbirth rates of 35.1/1000 vs. 20.8/1000 among women without ANC vs women with ANC, respectively (P < 0.05) [LOE: 2+] . Using German registry data, Gunter et al [ 53 ] retrospectively compared pregnancies without any ANC (N = 2208) with pregnancies with standard ANC (N = 163,143), and found a six-fold increased risk of stillbirth among women without prenatal care (OR = 6.1, 95% CI: 4.7–7.8, P < 0.01), though the study design was unable to adjust for confounding [LOE: 2-] .…”

Section: Resultsmentioning

confidence: 99%

Reducing stillbirths: behavioural and nutritional interventions before and during pregnancy

Yakoob

Menezes

Soomro

et al. 2009

BMC Pregnancy Childbirth

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Background: The vast majority of global stillbirths occur in low-and middle-income countries, and in many settings, the majority of stillbirths occur antenatally, prior to the onset of labour. Poor nutritional status, lack of antenatal care and a number of behaviours increase women's risk of stillbirth in many resource-poor settings. Interventions to reduce these risks could reduce the resulting burden of stillbirths, but the evidence for the impact of such interventions has not yet been comprehensively evaluated.

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Perinatal mortality in rural India: a strategy for reduction through primary care. I Stillbirths.

Cited by 20 publications

References 2 publications

Intra Uterine Fetal Death And Some Related Factors: A Silent Tragedy In Southeastern Iran

Intra Uterine Fetal Death And Some Related Factors: A Silent Tragedy In Southeastern Iran

Still Births in a Tertiary Care Hospital of Bhopal : A Cross Sectional Study

Reducing stillbirths: behavioural and nutritional interventions before and during pregnancy

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